Budgeting Procedures for Pregnant Women 510-05-90-25
(Revised 10/1/2023 ML #3747)
(N.D.A.C. 75-02-02.1-21)
The Omnibus Budget Reconciliation Act of 1990 provided for extended eligibility for pregnant women effective July 1, 1991.
When a pregnant woman becomes eligible for Medicaid, she continues eligible, without regard to any increase in income of the Medicaid unit, through the last day of the twelfth month. Decreases in income, however, will be considered to further reduce any client share (recipient liability). Likewise, a pregnant woman can move from one coverage type to another (e.g. from Family Coverage to poverty level); however, if poverty level eligible and income increases, the pregnant woman remains poverty level eligible. All other Medicaid eligibility factors continue to apply.
Pregnancy must be medically confirmed only if questionable. For determinations made after the birth of the baby, the child’s birth certificate may be used as verification of pregnancy.